Organization Active NPI

Gi Liver Diagnostics, L.L.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1295752285
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
195950 Issued in NY
Legal business name
GI LIVER DIAGNOSTICS, L.L.C.
Practice address
829 57TH St
2ND Floor
Brooklyn, NY 11220-3617
Phone
(718) 871-2511
Fax
(718) 871-0062
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelly Chin, M.D.NPI 1922028067
Title
Doctor
Phone
(718) 871-2511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 195950 NY Primary

Addresses

Primary practice location

829 57TH St
2ND Floor
Brooklyn, NY 11220-3617

Mailing address

93 Brown Cir
Paramus, NJ 07652-5203
Phone (718) 871-2511

Other identifiers 1

IdentifierTypeStateIssuer
01774758MedicaidNY

National Provider Directory

National Provider Directory

Locations

829 57th St
#2
Brooklyn, NY 11220
Phone (718) 871-2511

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1295752285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BROWN CIR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525203",
            "telephone_number": "718-871-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 57TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203617",
            "telephone_number": "718-871-2511",
            "fax_number": "718-871-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI LIVER DIAGNOSTICS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-871-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "195950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01774758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.